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Suppurative keratitis is an important cause of monocular blindness worldwide. Although the standard of care is microbiological investigation to identify the cause of this agent, in some situations these facilities are limited. Thomas and co-workers identified clinical features of suppurative keratitis that suggested the infection was caused by fungi. These included serrated margins, raised slough, dry texture, satellite lesions, and coloration other than yellow. In contrast, hypopyon and fibrinous exdate were more frequently seen in bacterial keratitis.
See p 1554
The problems surrounding human error in hospitals have received worldwide attention in the past few years. Mandal and co-workers studied 500 cases of cataract surgery performed in the United Kingdom. Nurses maintained reports concerning abnormal events; 69% of abnormal events were intraoperative whereas 27% were preoperative. The authors suggest that nursing staff are a reliable source for collecting data regarding near misses. Further definition and clarity of what constitutes a
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